[Ethanol, water, salt and coma.] Praxis [Praxis (Bern 1994)] Journal article | | Title | [Ethanol, water, salt and coma.] | | Author(s) | Spakowski M, Nikolic N, Giambarba C | | Institution | Interdisziplinäre Intensivstation, Stadtspital Waid, Zürich. | | Source | Praxis (Bern 1994) 2009 Aug 12; 98(16):905-8. | | Abstract | We report on a 52-year-old woman with liver cirrhosis who suddenly fell into deep coma after correction of an intercurrent hyponatremia. After exclusion of the commonest causes of coma, the MRI showed a symmetrical osmotic demyelination of both thalami. The newest epidemiological data, the pathyophysiology of osmotic demyelination, the threats of the treatment of a prolonged severe hyponatremia as well as the therapeutic options in face of osmotic demyelination are discussed. | | Language | ger | | Pub Type(s) | English Abstract Journal Article
| | PubMed ID | 19672831 |
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